EVALUATION OF SLEEP QUALITY WITH BURNOUT LEVEL IN EMERGENCY MEDICAL ASSISTANTS

Yıl 2020, Cilt: 5 Sayı: 2, 123 - 136, 29.08.2020

Dilek Atik Basar Cander Bensu Bulut Ramiz Yazıcı Ramazan Ünal Hasan Kaya

https://doi.org/10.33457/ijhsrp.712399

Cited By: 2

Öz

Burnout syndrome is a condition in which people working in businesses that require face-to-face communication, with prolonged stress where personal coping methods fail. Healthcare professionals are one of the most risky occupational groups in terms of burnout syndrome due to their heavy workload. In addition to the workload, the need to provide emotional support, providing care for severe and deadly patients, disturbed sleep patterns, and the high number of duties increase burnout in major stressors on healthcare professionals. In this study, our primary aim is to evaluate the relationship between burnout level and sleep quality in emergency medicine assistants. This study is a descriptive and cross-sectional study. According to the data obtained from the Higher Education Board, the personal information form and maslach burnout scale and pitsburg sleep quality scale surveys were sent to all Burnout syndrome is a condition in which people working in businesses that require face-to-face communication, with prolonged stress where personal coping methods fail. Healthcare professionals are one of the most risky occupational groups in terms of burnout syndrome due to their heavy workload. In addition to the workload, the need to provide emotional support, providing care for severe and deadly patients, disturbed sleep patterns, and the high number of duties increase burnout in major stressors on healthcare professionals. In this study, our primary aim is to evaluate the relationship between burnout level and sleep quality in emergency medicine assistants. This study is a descriptive and cross-sectional study. According to the data obtained from the Higher Education Board, the personal information form and maslach burnout scale and pitsburg sleep quality scale surveys were sent to all emergency assistants receiving training in Turkey. A total of 94 people working as emergency medical assistants participated in our study. According to the maclach burnout scale subgroup emotional exhaustion, 84% (n= 79) of the participants had a high level of emotional exhaustion and 16% (15) had moderate emotional exhaustion. When the MBI subgroup desensitization was evaluated, 87.2% (n= 82) was found high and 12.8% (n= 12) was found moderate. When the personal success of the MBI subgroup was evaluated, 97.9% (n= 92) was found low and 2.1% (n= 2) was found moderate. When the correlation between the MBI subgroups and the PSQS scoring was evaluated, a moderate positive correlation was found between emotional exhaustion and PSQS (p≤0.001). When the sleep quality with MBI is evaluated by regression analysis, it is seen that the state of exhaustion affects quality of sleep by 13.1%.
High level of burnout during the education period of the emergency medicine assistant causes sleep quality deterioration. This situation causes difficulties in business and private life over time. We think that it will be beneficial to regulate the monthly working hours in order to decrease the burnout levels and increase sleep quality for keeping EMAs physically and mentally healthy, to increase the training staff to make them feel safe, and to organize programs to increase non-work social activities.

Anahtar Kelimeler

Emergency Medical Assistant, Sleep Quality, Maslach Burnout Inventory

Kaynakça

• [1] Maslach, C., Schaufeli,W., Leiter, M,. “Job burnout. In: Fiske S, Schacter D, Zahn-Waxler C, editors”, Annu Rev Psychol 397–422. 2001.
• [2] Freudenberger, H.J., “Staff Burn-Out”, Journal of Social Issues 30 (1), 159-165,1974.
• [3] Arıkan, F., Gokce, C., Ozer, Z.C. et al “Tukenmislik ve Hemsirelik” Hemsirelik Forumu 2, 14-17, 2006.
• [4] Canbaz, S., Sunter, T., Dabak, S et al. “Hemsirelerde Tukenmislik Sendromu, İs Doyumu ve İse Bağlı Gerginlik” Hemsirelik Forumu 4,30-34, 2005.
• [5] Esen, A.D., Mercan, G.N., Ezgi, K.E.,”Aile Hekimliği Asistanlarında Tükenmişlik Sendromu”, Anatol JFM 1, 34-36, 2018.
• [6] Vanttola, P., Härmä, M., Viitasalo, K., Hublin, C., Virkkala, J., Sallinen, M., “Puttonen S. Sleep and alertness in shift work disorder: findings of a field study”, International Archives of Occupational and Environmental Health 92(4), 523-533, 2019.
• [7] Kawada, T., Suzuki, S., “Monitoring sleep hours using a sleep diary and errors in rotating shiftworkers”, Psychiatry Clin Neurosci 56:213–4, 2002.
• [8] Schwab, R.J., Goldberg, A.N., Pack, A.L.,“Sleep apnea syndromes” In: Fishman AP, editor. Fishman’s Pulmonary Diseases and Disorders. New York: McGraw - Hill Book Company 1617–37, 1998.
• [9] Ekstedt, M., Söderström, M., Akerstedt, T., “Sleep physiology in recovery from burnout”, Biological Psychology 82(4), 267-73. 2009.
• [10] Smith, L,, Tanigawa, T., Takahashi, M., “Shiftwork locus of control, situational and behavioural effects on sleepiness and fatigue in shiftworkers”, Industrial Health 43(2), 151-70,2005.
• [11] Keskin, M.T., Kubilay, G., “Özel bir hastanede çalışan hemşirelerin yaşam alışkanlıkları ve çalışma koşullarından kaynaklı sağlık sorunlarının değerlendirilmesi”,Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi 18(1):41-49,2011.
• [12] Demir, H.P., Elkin, N., Barut, A.Y., Bayram, H.M., Averi, S., “Vardiyalı Çalışan Sağlık Personelinin Uyku Süresi ve Beslenme Durumunun Değerlendirilmesi” IGUSABDER 2: 89-107,2017. [13] Shen, J., Botly, L.C.P., Chung, S.A., “Fatigue and shift work”, Journal of Sleep Research 15(1): 1-5,2006.
• [14] Sönmez, S., Ursavaş, A., Uzaslan, E., “Vardiyalı çalışan hemşirelerde horlama, uyku bozuklukları ve iş kazaları”, Türk Toraks Dergisi 11(2), 105-8,2010. [15] Maslach, C., Jackson, S.E., “The measurement of experienced burnout”, J Organ Behav 2(2):99–113,1981.
• [16] Ergin, C., “Doktor ve hemsirelerde tukenmislik ve Maslach tukenmislik olceginin uyarlanmasi”,VII Ulusal Psikoloji Kongresi, 22th September 1992 Ankara (Turkey).
• [17] Buysse, D.J., et al. “Relationships Between the Pittsburgh Sleep Quality Index (PSQI), Epworth Sleepiness Scale (ESS), and Clinical/Polysomnographic Measures in a Community Sample”, J Clin Sleep Med 4:563-71,2008.
• [18] Buysse, D.J., Charles, F., Reynolds, C.F., “The pittsburg sleep quality index: A new intrument for psychiatric practice and research”, Psychiatry Research 28(7), 193-213,1989.
• 19] Ağargün, M.Y., Kara, H., Anlar, Ö., “Pittsburgh uyku kalitesi indeksi’nin geçerliliği ve güvenirliliği” Türk Psikiyatri Dergisi 7(2): 107-15,1996.
• [20] Turgut ,N., Karacalar, S., Polat, C., Kıran, Ö.,Gültop, F., Kalyon,S.T., Sinoğlu, B., Zincirci, M., Kaya,E., “Burnout Syndrome During Residency”,Turk J Anaesthesiol Reanim 44: 258-64,2016.
• [21] Taycan, O., Kutlu, L., Çimen, S., Aydın, N., “Bir üniversite hastanesinde çalışan hemşirelerde depresyon ve tükenmişlik düzeyinin sosyodemografik özelliklerle ilişkisi”,Anadolu Psikiyatri Dergisi 7: 100-8,2006.
• [22] Popa, F., Arafat, R., Purcărea, V.L., Lală, A., Popa–Velea, O., Bobirnac, G., “Occupational Burnout levels in Emergency Medicine–a stage 2 nationwide study and analysis”J Med Life 15; 3(4): 449–453,2010.
• [23] Moradi, Y., Baradaran, H.R., Yazdandoost, M., Atrak, S., Kashanian, M., “Prevalence of Burnout in residents of obstetrics and gynecology: A systematic review and meta-analysis” Med J Islam Repub Iran 29: 235,2015.
• [24] Lu, D.W., Dresden, S., McCloskey, C., Branzetti, J., Gisondi, M.A., “Impact of Burnout on Self-Reported Patient Care Among Emergency Physicians” West J Emerg Med 16: 996-1001,2015.
• [25] Turgut, N., Karacalar, S., Polat, C., et al. “Burnout Syndrome During Residency”,Turkish Journal of Anaesthesiology and Reanimation 44(5):258-64,2016.
• [26] Anıl, M., Yurtseven, A., Yurtseven, İ., et al. “The evaluation of burnout and job satisfaction levels in residents of pediatrics”, Turkish Archives of Pediatrics/ Türk Pediatri Arşivi 52(2):66-71,2017.
• [27] Rendon-Sanchez, J.L., Ramirez-Leyva, D.H., BermudezVillalpando, V.I., Camacho-Romo, J.J., Grajeda- Gonzalez, L.B., Ramirez-Leyva, P.H., “Depression, Anxiety and Burnout Syndrome in Medical Residents of Family Medicine in Tijuana, Mexico”J Fam Med 4(6):1131,2017.
• [28] Chaput, B., Bertheuil, N., Jacques. J., Smilevitch, D., Bekara, F., Soler, P., et al. “Professional burnout among plastic surgery residents: can it be prevented? outcomes of a national survey”, Ann Plast Surg 75, 2-8,2015.
• [29] Ersoy, S., Kavalcı, C., Yel, C.,Yılmaz, F., Kavalcı, G.,Aslan, Ö.,”Tıp Fakültesi Hastaneleri ve Sağlık Bakanlığı Eğitim ve Araştırma Hastanelerinde Çalışan Acil Tıp Asistanlarının Tükenmişlik Düzeylerinin Karşılaştırılması”,Ankara Med J. 14(2):41-45,2014.
• [30] Bumin, G., Tatlı, I.Y., Cemali, M., Kara, S., Akyürek, G., “The Comparison of the Quality of Sleep, Stress, Well-being and Reaction Time Among Health Care Professionals with Shift and Day Workers”, Huhemfad-Johufon 6(3),170-176,2019.
• [31] Çetinol, T., Özvurmaz, S., “Hemşirelerde Uyku Kalitesi ve İlişkili Faktörler”,Medical Sciences 13(4), 80-89,2018.
• [32] Tarhan, M., Aydin, A., Ersoy, E., Dalar, L., “The sleep quality of nurses and its influencing factors”,Eurasian Journal of Pulmonology 20(2), 78-84,2018.
• [33] Gómez-García, T., Ruzafa-Martínez, M., Fuentelsaz-Gallego, C., Madrid, J.A., Rol, M.A., Martínez-Madrid, M.J., Moreno-Casbas, T., “Nurses' sleep quality, work environment and quality of care in the Spanish National Health System: observational study among different shifts” BMJ Open 6(8),1-11,2016.
• [34] Çoban, S., Yılmaz, H., Ok, G., Erbüyün, K., Aydın, D., “Yoğun bakım hemşirelerinde uyku bozukluklarının araştırılması”,Türk Yoğun Bakım Derneği Dergisi 9(1), 59-63,2011.
• [35] Luz, E.M.S., Marqueze, E., Moreno, C., “Job satisfaction and sleep quality in nursing professionals”,Sleep Science 4(2), 49-51,2011.
• [36] Şentürk, S., “Evaluation of the Relationship Between Burnout Levels and Sleep Quality in the Intensive Care Unit Nurses”, Bozok Med J 4(3),48-56,2014.
• [37] Demir, Z.A., Arslan, S., “Morning-evening type and burnout level as factors influencing sleep quality of shift nurses: a questionnaire study” Croatian Medical Journal 52(8), 527-37,2011.